Healthy Sleep Is a Permanent Problem in the Attention of the Romanian Society of Pneumology Somnology Section

Total Page:16

File Type:pdf, Size:1020Kb

Healthy Sleep Is a Permanent Problem in the Attention of the Romanian Society of Pneumology Somnology Section SRP Activity • DOI: 10.2478/pneum-2019-0016 • 68 • 2019 • 97-98 Pneumologia Healthy sleep is a permanent problem in the attention of the Romanian Society of Pneumology Somnology Section Florin Mihălțan1, Mihaela Oros2,*, Doina Todea3 1UMF.Carol Davila București, Bulevardul Eroii Sanitari 8, București 050474, Romania 2Policlinica Regina Maria, București 050474, Romania 3UMF. Iuliu Hațieganu Cluj Napoca, Strada Victor Babeș 8, Cluj-Napoca 400000, Romania The “Sleep Day” of 2019 was celebrated by the RSP’s (Mihaela Oros) and how they create anxiety for parents (Irina (Romanian Society of Pneumology) somnology and Costache). There was also an emblematic patient presenting noninvasive ventilation section in a much more original way the behavior of the Romanian patient with such activities that than in previous years. exposed the way continuous positive airway pressure (CPAP) We all stand the assault on modern life, on the informational therapy helped him, how he changed his life after sleep line, technical no matter what is called telephone, electronic apnea syndrome was discovered and institution of therapy. games, television, tablet, etc. or stress every day. All of this Questions from the audience allowed a review of the progress has changed human behavior impacting decisively on our made by the Romanian somnology school, as well as details daily sleep. In fact, one of the slogans used this year by the of the interactivity with the authorities with the progress and Sleep National Foundation emphasizes that “sleep is just the problems that still exist regarding the compensation of the as important as diet and exercise but it’s easier.” In fact, if therapy. we look at the over 80 sleep pathologies, we realize that During the same period, a noninvasive ventilation workshop we are far from being integrated into everyday life with this organized by Prof. Doina Todea was held in Cluj Napoca. For healthy sleep. Why? Because the man is not acclimated to 2 days, more than 100 participants had the opportunity to sleep, nighttime, night light, intercontinental voyages, and the listen to presentations on topics of general interest in the life modern life he has generated has become another long-term of the practitioner, supported by 20 lecturers, and to practice health challenge in these new conditions. on existing devices how to apply noninvasive ventilation. The Sleep Day was celebrated this year by the Somnology and topics discussed were very diverse—from frequent illnesses Noninvasive Ventilation Section of the Romanian Society such as sleep apnea syndrome to comorbidities, prevalent of Pneumology in Bucharest on April 15, 2019 through associations, case presentations, etc. Some conclusions a press conference that supported the slogan “Healthy have been drawn at the end of this event: the duration and Sleep for a Healthy Life for the Whole Family” and in Cluj quality of sleep are vital to the future of each individual. The Napoca through—a noninvasive ventilation workshop. sleepless epidemic is and remains catastrophic. Under these Those present at the conference had the opportunity to conditions, a constant education of the population is required understand the multiple problems related to the disrupted and a permanent reminder of the basic rules sleep hygiene sleep rhythm and its consequences in diseases such as with a multidisciplinary diagnostic contribution. Sleep at the diabetes, cancer with genetic mutations, infections, obesity, same time is an extremely important element and good sleep insomnia, cardiovascular problems, or hypertension (Florin is without awakening, nightmares, apnea, or snoring. Mihălţan), which are the responsibilities of Employee and Blue light sources should be avoided: phones, TVs, laptops Employer related to Obstructive Sleep Apnea Syndrome that do not need to be in the sleeping room. Screen exposure (Agripina Raşcu), as the pathology generated by the summer of children under 3 years of age should be avoided. A shift affects the lives of both humans and mammals (Oana sleep schedule must be established for young people and Deleanu), which are the particular aspects of the respiratory adolescents. Priority will be given to extracurricular activities distress-inducing pathology during sleep at children and the time spent on late discussions with friends, if *Corresponding author: Mihaela Oros E-mail: [email protected] Open Access. © 2019 Mihălțan et al., published by Sciendo This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License. 97 Pneumologia necessary. There is also limited daytime sleep. A 30-minute adopted for 2019 by the “World Somnology Society” a sleep after school may be refreshing, but siesta for only “Sleep Healthy, a Healthy Life for the Whole family.” All 30 minutes is useful. Great attention should be paid to the these efforts of the representatives of the Somnology and consumption of caffeine and energy drinks. Reconnection Noninvasive Ventilation Section were devoted to reminding and relaxation, half an hour before bedtime can help the authorities of the importance of overspecialization in the improve sleep. Before going to bed, specialists recommend field of somnology and education of the population to correct a warm shower or other relaxing activities such as reading. a series of deficiencies recorded in the rest moments due to It is understandable under these conditions that the slogan the alert pace of life we all live. 98.
Recommended publications
  • Sleep, Its Attributes, Deprivation & Hygiene: a Recapitulation
    Review Article Annals of Sleep Medicine Research Published: 21 Jun, 2019 Sleep, Its Attributes, Deprivation & Hygiene: A Recapitulation Priyanka Malhotra* Nursing in Mental Health Nursing From PGIMER, Chandigarh, India Presently working as Nursing Tutor, AIIMS, Rishikesh, India Abstract Sleep is a biological and behavioral phenomenon that has been studied from many different perspectives. Today it is clear that sleep quantity and quality is related to the development of chronic diseases and even mental disorders. However, many people ignore their sleep habits and fail to take active steps to adopt sleep hygiene practices preferring instead to relay on non-prescribed or prescribed pharmacological products. As a result of the potential consequences of sleep deprivation, health care professionals should be vigilant of how managing underlying medical conditions may help to optimize sleep continuity and consider prescribing interventions that minimize sleep disruption. Keywords: Sleep; Sleep deprivation; Sleep hygiene Introduction Almost every night we are engaging ourselves in a sound sleep. However, pattern of sleep and its features vary from person to person. Various body functions such as metabolism, appetite, cardiovascular system, and immune system has been maintained and regulated by sleep. Hence, for the optimum level of health, sleep is an important factor [1,2]. Sleep is a state of reduced consciousness that is relatively easy to reverse. A normal healthy sleep is distinguish by good quality, appropriate time and regularity, enough duration and without any sleep disorder and disturbance [3]. Attributes of Normal Sleep OPEN ACCESS The stages of sleep have historically been divided into one stage of Rapid Eye Movement (REM) sleep and four stages (Stages 1-4) of Non-Rapid Eye Movement (NREM) sleep that are characterized *Correspondence: by increasing sleep depth.
    [Show full text]
  • Sleep Disturbance in MS
    SLEEP DISTURBANCE AND MULTIPLE SCLEROSIS Abbey J. Hughes, PhD Department of Rehabilitation Medicine University of Washington School of Medicine Table of Contents Introduction ................................................................................................................................................................ 2 Summary of MS Sleep Research .......................................................................................................................... 3 Emerging Treatments for Sleep Disturbance in MS .................................................................................... 6 Tips for Assessing Your Sleep – Worksheet .................................................................................................. 8 Additional Tools and Resources.......................................................................................................................... 9 References ................................................................................................................................................................ 10 1 Introduction Multiple sclerosis (MS) is a chronic disease characterized by loss of myelin (demyelination) and damage to nerve fibers (neurodegeneration) in the central nervous system (CNS). MS is associated with a diverse range of physical, cognitive, emotional, and behavioral symptoms, and can significantly interfere with daily functioning and overall quality of life. MS directly impacts the CNS by causing demyelinating lesions, or plaques, in the brain,
    [Show full text]
  • Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Patients with Comorbid Major Depressive Disorder and Insomnia
    INSOMNIA AND DEPRESSION Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Patients with Comorbid Major Depressive Disorder and Insomnia Rachel Manber, PhD1; Jack D. Edinger, PhD2; Jenna L. Gress, BA1; Melanie G. San Pedro-Salcedo, MA1; Tracy F. Kuo, PhD1; Tasha Kalista, MA1 1Stanford University, Stanford, CA; 2VA Medical Center and Duke University Medical Center, Durham, NC Study Objective: Insomnia impacts the course of major depressive severity index (ISI), daily sleep diaries, and actigraphy. disorder (MDD), hinders response to treatment, and increases risk for EsCIT + CBTI resulted in a higher rate of remission of depression depressive relapse. This study is an initial evaluation of adding cogni- (61.5%) than EsCIT + CTRL (33.3%). EsCIT + CBTI was also associat- tive behavioral therapy for insomnia (CBTI) to the antidepressant medi- ed with a greater remission from insomnia (50.0%) than EsCIT + CTRL cation escitalopram (EsCIT) in individuals with both disorders. (7.7%) and larger improvement in all diary and actigraphy measures of Design and setting: A randomized, controlled, pilot study in a single sleep, except for total sleep time. academic medical center. Conclusion: This pilot study provides evidence that augmenting an Participants: 30 individuals (61% female, mean age 35±18) with MDD antidepressant medication with a brief, symptom focused, cognitive- and insomnia. behavioral therapy for insomnia is promising for individuals with MDD Interventions: EsCIT and 7 individual therapy sessions of CBTI or and comorbid insomnia in terms of alleviating both depression and in- CTRL (quasi-desensitization). somnia. Measurements and results: Depression was assessed with the Keywords: Major depressive disorder, Insomnia, Cognitive behavioral HRSD17 and the depression portion of the SCID, administered by raters therapy, Remission masked to treatment assignment, at baseline and after 2, 4, 6, 8, and Citation: Manber R; Edinger JD; Gress JL; San Pedro-Salcedo MG; 12 weeks of treatment.
    [Show full text]
  • Sleep and Mental Wellbeing Exploring the Links
    Sleep and mental wellbeing Exploring the links Technical report prepared by Kate Bartel, Cele Richardson and Michael Gradisar vichealth.vic.gov.au © VicHealth 2018 April 2018 P-MW-604 Suggested citation Bartel, K, Richardson, C & Gradisar M 2018, Sleep and mental wellbeing: exploring the links, Victorian Health Promotion Foundation, Melbourne. Acknowledgements The authors are grateful for the helpful comments of Emeritus Professor Dorothy Bruck, Chair of the Sleep Health Foundation, on an earlier draft of this report. Contents Acknowledgements ................................................................................................................................... i Key definitions .......................................................................................................................................... v Abbreviations ......................................................................................................................................... vii Executive summary ............................................................................................................................... viii Australian sleep patterns .................................................................................................................. viii Sleep and mental health.................................................................................................................... viii Lifestyle factors associated with sleep .............................................................................................
    [Show full text]
  • Normal and Delayed Sleep Phases
    1 Overview • Introduction • Circadian Rhythm Sleep Disorders – DSPS – Non-24 • Diagnosis • Treatment • Research Issues • Circadian Sleep Disorders Network © 2014 Circadian Sleep Disorders Network 2 Circadian Rhythms • 24 hours 10 minutes on average • Entrained to 24 hours (zeitgebers) • Suprachiasmatic nucleus (SCN) – the master clock • ipRGC cells (intrinsically photosensitive Retinal Ganglion Cells) © 2014 Circadian Sleep Disorders Network 3 Circadian Rhythm Sleep Disorders • Definition – A circadian rhythm sleep disorder is an abnormality of the body’s internal clock, in which a person is unable to fall asleep at a normal evening bedtime, although he is able to sleep reasonably well at other times dictated by his internal rhythm. • Complaints – Insomnia – Excessive daytime sleepiness • Inflexibility • Coordination with other circadian rhythms © 2014 Circadian Sleep Disorders Network 4 Circadian Sleep Disorder Subtypes* • Delayed Sleep-Phase Syndrome (G47.21**) • Non-24-Hour Sleep-Wake Disorder (G47.24) • Advanced Sleep-Phase Syndrome (G47.22) • Irregular Sleep-Wake Pattern (G47.23) • Shift Work Sleep Disorder (G47.26) • Jet Lag Syndrome * From The International Classification of Sleep Disorders, Revised (ICSD-R) ** ICD-10-CM diagnostic codes in parentheses © 2014 Circadian Sleep Disorders Network 5 Definition of DSPS from The International Classification of Sleep Disorders, Revised (ICSD-R): • Sleep-onset and wake times that are intractably later than desired • Actual sleep-onset times at nearly the same daily clock hour • Little or no reported difficulty in maintaining sleep once sleep has begun • Extreme difficulty awakening at the desired time in the morning, and • A relatively severe to absolute inability to advance the sleep phase to earlier hours by enforcing conventional sleep and wake times.
    [Show full text]
  • Somnology-Jr-Book.Pdf
    1 To Grace Zamudio and Zoe Lee-Chiong. 2 Preface Carpe noctem. Teofilo Lee-Chiong MD Professor of Medicine Division of Sleep Medicine National Jewish Health Denver, Colorado University of Colorado Denver School of Medicine Denver, Colorado Chief Medical Liaison Philips Respironics Murrysville, Pennsylvania 3 Abbreviations AHI Apnea-hypopnea index BPAP Bi-level positive airway pressure CPAP Continuous positive airway pressure CSA Central sleep apnea ECG Electrocardiography EEG Electroencephalography EMG Electromyography EOG Electro-oculography FEV1 Forced expiratory volume in 1 second GABA Gamma-aminobutyric acid N1 NREM stage 1 sleep N2 NREM stage 2 sleep N3 NREM stages 3 (and 4) sleep NREM Non-rapid eye movement O2 Oxygen OSA Obstructive sleep apnea PaCO2 Partial pressure of arterial carbon dioxide PaO2 Partial pressure of arterial oxygen REM Rapid eye movement sleep SaO2 Oxygen saturation SOREMP Sleep onset REM period 4 Table of contents Introduction 15 Neurobiology of sleep 16 Neural systems generating wakefulness 16 Neural systems generating NREM sleep 16 Neural systems generating REM sleep 16 Main neurotransmitters 17 Acetylcholine 17 Adenosine 17 Dopamine 17 Gamma-aminobutyric acid 17 Glutamate 17 Glycine 17 Histamine 18 Hypocretin 18 Melatonin 18 Norepinephrine 18 Serotonin 18 Physiology during sleep 19 Autonomic nervous system 19 Respiratory system 19 Respiratory patterns 19 Cardiovascular system 19 Gastrointestinal system 20 Renal and genito-urinary systems 20 Endocrine system 20 Growth hormone 20 Thyroid stimulating hormone
    [Show full text]
  • Sleep Hygiene Instructions
    SLEEP HYGIENE INSTRUCTIONS Sleep only as much as you need to feel refreshed during the following day. Restricting your time in bed helps to consolidate and deepen your sleep. Excessively long times in bed lead to fragmented and shallow sleep. Get up at your regular time the next day, no matter how little you slept. Get up at the same time each day, 7 days a week. A regular wake time in the morning leads to regular times of sleep onset, and helps to set your biological clock. Exercise regularly. Schedule exercise times so that they do not occur within 3 hours of when you intend to go to bed. Exercise makes it easier to initiate sleep and deepen sleep. Don’t take your problems to bed. Plan some time earlier in the evening for working on your problems or planning the next day’s activities. Worrying may interfere with initiating sleep and produce shallow sleep. Train yourself to use the bedroom only for sleep and sexual activity. This will help condition your brain to see bed as the place for sleeping. Do not read, watch TV or eat in bed. Do not try and fall asleep. This only makes the problem worse. Instead, turn on the light, leave the bedroom, and do something different like reading a book. Don’t engage in stimulating activity. Return to bed only when you feel sleepy. Avoid long naps. Staying awake during the day helps to fall asleep at night. Naps totalling more than 30 minutes increase your chances of having trouble sleeping at night.
    [Show full text]
  • Insomnia in Adults
    New Guideline February 2017 The AASM has published a new clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults. These new recommendations are based on a systematic review of the literature on individual drugs commonly used to treat insomnia, and were developed using the GRADE methodology. The recommendations in this guideline define principles of practice that should meet the needs of most adult patients, when pharmacologic treatment of chronic insomnia is indicated. The clinical practice guideline is an essential update to the clinical guideline document: Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: an American Academy of Sleep Medicine clinical practice guideline. J Clin Sleep Med. 2017;13(2):307–349. SPECIAL ARTICLE Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults Sharon Schutte-Rodin, M.D.1; Lauren Broch, Ph.D.2; Daniel Buysse, M.D.3; Cynthia Dorsey, Ph.D.4; Michael Sateia, M.D.5 1Penn Sleep Centers, Philadelphia, PA; 2Good Samaritan Hospital, Suffern, NY; 3UPMC Sleep Medicine Center, Pittsburgh, PA; 4SleepHealth Centers, Bedford, MA; 5Dartmouth-Hitchcock Medical Center, Lebanon, NH Insomnia is the most prevalent sleep disorder in the general popula- and disease management of chronic adult insomnia, using existing tion, and is commonly encountered in medical practices. Insomnia is evidence-based insomnia practice parameters where available, and defined as the subjective perception of difficulty with sleep initiation, consensus-based recommendations to bridge areas where such pa- duration, consolidation, or quality that occurs despite adequate oppor- rameters do not exist.
    [Show full text]
  • Sleep Hygiene Tips
    1 Sleep Hygiene Tips “The Healthy Habits of Good Sleep” Here are some tips for how you can improve your sleep hygiene: 1. Don’t go to bed unless you are sleepy. If you are not sleepy at bedtime, then do something else. Read a book, listen to soft music or browse through a magazine. Find something relaxing, but not stimulating, to take your mind off of worries about sleep. This will relax your body and distract your mind. 2. If you are not asleep after 20 minutes, then get out of the bed. Find something else to do that will make you feel relaxed. If you can, do this in another room. Your bedroom should be where you go to sleep. It is not a place to go when you are bored. Once you feel sleepy again, go back to bed. 3. Begin rituals that help you relax each night before bed. This can include such things as a warm bath, light snack or a few minutes of reading. 4. Get up at the same time every morning. Do this even on weekends and holidays. 5. Get a full night’s sleep on a regular basis. Get enough sleep so that you feel well-rested nearly every day. 6. Avoid taking naps if you can. If you must take a nap, try to keep it short (less than one hour). Never take a nap after 3 p.m. 7. Keep a regular schedule. Regular times for meals, medications, chores, and other activities help keep the inner body clock running smoothly.
    [Show full text]
  • Sleep Hygiene-Children Handout.Indd
    Sleep Hygiene for Children Preschoolers (ages 3-5 years) generally need between 10-13 hours of sleep per night, and school-age children (ages 6-13 years) need between 9-11 hours of sleep per night. 1. Stick to the same bedtime and wake time every day, even on weekends. Children sleep better when they have the same bedtime and wake time every day. Staying up late during the weekend and then trying to catch up on sleep by sleeping in can throw off a child’s sleep schedule for several days. 2. Beds are for sleeping. Try to use your bed only for sleeping. Lying on a bed and doing other activities (e.g., watching TV, using a tablet or computer) makes it hard for your brain to associate your bed with sleep. 3. A comfy, cozy room. A child’s bedroom environment should be cool, quiet, and comfortable. 4. Alarm clocks are for waking up. Children who tend to stare at the clock, waiting and hoping to fall asleep should have the clock turned away from them. 5. Bedtime routine. A predictable series of events should lead up to bedtime. This can include brushing teeth, putting on pajamas, and reading a story from a book. 6. Quiet, calm, and relaxing activities. Before bedtime is a great time to relax by listening to soft, calming music or reading a story. Avoid activities that are excessively stimulating right before bedtime. This includes screen time like watching television, using a tablet or com- puter, and playing video games, as well as physical exercise.
    [Show full text]
  • Daily Sleep Diary
    Daily Sleep Diary Complete the diary each morning (“Day 1” will be your first morning). Don’t worry too much about giving exact answers, an estimate will do. Your Name___________________________ The date of Day 1_______________ Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Enter the Weekday (Mon, Tues, Wed, etc.) At what time did you go to 1 bed last night? After settling down, how long did it take you to fall 2 asleep? After falling asleep, about how many times did you 3 wake up in the night? After falling asleep, for how long were you awake during 4 the night in total? At what time did you finally 5 wake up? At what time did you get 6 up? How long did you spend in bed last night (from first 7 getting in, to finally getting up) How would you rate the quality of your sleep last night? 8 1 2 3 4 5 V. Poor V. Good 10 Rules for Improved Sleep Hygiene If you have problems sleeping, then it is important that you practise good Sleep Hygiene. This means doing things which are known to improve sleep, and avoiding those things which are known to disturb sleep. Here are 10 things you should know about getting better sleep; each of these points is based on scientific research, and could help you to get the most out of your sleep. Remember, this advice applies only if you have a sleep problem: Products containing caffeine (tea, coffee, cocoa, chocolate, soft drinks, etc.) 1 should be discontinued at least 4 hours before bedtime.
    [Show full text]
  • Sleep Hygiene Practices in Patients with Major Depression with Comorbid Insomnia, Primary Insomnia and Good Sleepers
    Sleep Hygiene Practices in Patients with Major Depression with Comorbid Insomnia, Primary Insomnia and Good Sleepers Maritza Sandoval-Rincón Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz José Carlos Sánchez-Ferrer Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz Jairo Muñoz-Delgado Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz R. Krisel Saldívar-Hernández Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz Alejandro Jimenez-Genchi ( [email protected] ) Instituto Nacional de Psiquiatria Ramon de la Fuente Muniz https://orcid.org/0000-0003-3540-7030 Research article Keywords: Sleep hygiene, insomnia, comorbid insomnia, major depression Posted Date: May 14th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-28124/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/14 Abstract Background Inadequate sleep hygiene (SH) is considered one the factors contributing to insomnia, including comorbid insomnia with mental disorders. However, the practice of SH by depressed patients with comorbid insomnia has not been explored. We aimed to compare the practice of SH between patients with major depression with comorbid insomnia, primary insomnia, and good sleepers. Methods One hundred and eighty-two adult individuals participated: 62 outpatients with major depressive disorder with comorbid insomnia (MDD), 56 outpatients with primary insomnia (PI), and 64 good sleepers (GS). All participants were assessed with a structured psychiatric interview, an insomnia interview, the Pittsburgh Sleep Quality Index, the Insomnia Severity Index and the Sleep Hygiene Practice Scale. We compared the practice of SH as a whole and by domains between the groups and the relation between SH practice, insomnia and sleep quality.
    [Show full text]